Travis Don Green (NPI# 1750710919, PAC ID# 0941431894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750710919 |
| PAC ID by PECOS | 0941431894 |
| Professional Enrollment ID | I20180724002881 |
| Full Name | Travis Don Green |
| Organization Legal Name | NELLIE GAIL URGENT CARE MEDICAL CORP |
| Address |
27001 Moulton Pkwy A102 Laguna Hills CA 92656-3626 |
| Phone Number | 9496001907 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7810203999 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626 | 9496001907 | NELLIE GAIL URGENT CARE MEDICAL CORP |
| Organization Legal Name | NELLIE GAIL URGENT CARE MEDICAL CORP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mehrdad Salimkhanian | Family Medicine | Nellie Gail Urgent Care Medical Corp | 27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626 |
| Street Address |
27001 MOULTON PKWY A102 |
| City | LAGUNA HILLS |
| State | CA |
| Zip | 92656-3626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mehrdad Salimkhanian | Family Medicine | Nellie Gail Urgent Care Medical Corp | 27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna B Farris | Clinical Social Worker | 102 Nightingale Dr, Aliso Viejo, CA 92656-1711 | |
| Surinder Brar | Physical Therapy | 26701 Quail Crk, Apt 263, Laguna Hills, CA 92656-3006 | |
| Terrence Neal Taylor | Psychiatry | County of Orange | 5 Mareblu, Aliso Viejo, CA 92656-3014 |
| Usha Sannidhi Venkata | Psychiatry | County of Orange | 5 Mareblu, Suite 100, Aliso Viejo, CA 92656-3014 |
| Nabi Ghulam Latif | Psychiatry | County of Orange | 5 Mareblu, Suite 200, Aliso Viejo, CA 92656-3014 |
| Adee Cohen | Clinical Social Worker | County of Orange | 5 Mareblu, Aliso Viejo, CA 92656-3014 |
| Michelle Nicole Menke | Clinical Social Worker | County of Orange | 5 Mareblu, Suite 200, Aliso Viejo, CA 92656-3014 |
| Thomas M Ludema | Neurology | 15 Mareblu, Suite 250, Aliso Viejo, CA 92656-3015 | |
| Veronica C Harrison | Family Medicine | Southern California Permanente Medical Group | 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 |
| Peter J Kim | Family Medicine | Southern California Permanente Medical Group | 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 |
| Find all physicians in zip 92656 | |||
| City | LAGUNA HILLS |
| Zip Code | 92656 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAGUNA HILLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Travis Don Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.